G8697 HCPCS - ANTITHROMBOTIC THERAPY NOT PRESCRIBED FOR DOCUMENTED REASONS (E.G., PATIENT HAD STROKE DURING HOSPITAL STAY, PATIENT EXPIRED DURING INPATIENT STAY, OTHER MEDICAL REASON(S)); (E.G., PATIENT LEFT AGAINST MEDICAL ADVICE, OTHER PATIENT REASON(S))

Code Information

HCPCS Code: G8697

Sequence Number: 0010

Short Description: Antithromb no presc doc reas

Long Description: Antithrombotic therapy not prescribed for documented reasons (e.g., patient had stroke during hospital stay, patient expired during inpatient stay, other medical reason(s)); (e.g., patient left against medical advice, other patient reason(s))

Code Added Date: 1/1/2012

Action Code: D - Discontinue procedure or modifier code

Action Effective Date: 1/1/2018

Classification: Temporary Procedures & Professional Services

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: M5B - Specialist - psychiatry
Type Of Service Code:
  • 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Billing Information

Pricing Indicator Code:
  • 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
Multiple Pricing Indicator Code: 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Coverage Issues Manual Reference Section Number:
    N/A
    Medicare Carriers Manual Reference Section Number:
      N/A
      Coverage Code: C - Carrier judgment

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code G8697
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Antithrombotic therapy not prescribed for documented reasons (e.g., patient had stroke during hospital stay, patient expired during inpatient stay, other medical reason(s)); (e.g., patient left against medical advice, other patient reason(s))
      HCPCS Short Description Antithromb no presc doc reas
      HCPCS Pricing Indicator Code 1 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
      HCPCS Multiple Pricing Indicator Code 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
      HCPCS Coverage Code C - Carrier judgment
      HCPCS Berenson-Eggers Type Of Service Code M5B - Specialist - psychiatry
      HCPCS Type Of Service Code 1 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/2012
      HCPCS Action Effective Date 1/1/2018
      HCPCS Termination Date 12/31/2017
      HCPCS Action Code D - Discontinue procedure or modifier code

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      This page was last updated on: 1/1/2018